1. They no longer recommend a 30 min observation period after receiving the vaccine for egg allergic patients.
2. The vaccine can be administered in an inpatient or outpatient medical setting (which does not exclude retail pharmacy locations).

3. Any vaccine may be used so long as it is appropriate for age and health status.

4. Patients who have a reaction more severe than hives such as respiratory distress, recurrent vomiting, etc. OR who required epinephrine or “other emergency medicine intervention” may be given the vaccine in an outpatient setting by a medical professional trained to recognize and manage severe allergic reaction.

5. Severe reaction to a previous vaccine is a contraindication for receiving future vaccines.

Much thanks to Andrea Brookhart, PharmD and her colleagues, pharmacy residents MacKenzie VonCanon, PharmD and Hannah Kuhn, PharmD for allowing me to use their awesome chart! There is also a link to a printable version at the bottom of the page. These are the vaccines that will be found at most local retail pharmacy locations. Continue reading

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The art and science of medicine is always changing. Just like we read ingredient labels before each purchase because recipes change, inactive ingredients in medications change and studies discover new links and interactions. We must be vigilant with medications just as we would with food. Any information discussed should be verified with your healthcare provider as you and your provider decide what is best for your particular situation. Ultimately, I want everyone to use this information as a jumping off point to speak with your pharmacist, allergist, etc., to open lines of communication, and to ask the questions that need to be addressed with regards to food allergies and medications. You are your best advocate. Education is the key.